中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

肺磨玻璃结节术中定位方法临床应用进展

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伴随高分辨率CT在肺癌筛查中的广泛应用,肺磨玻璃结节检出率不断增多,其在胸外科手术疾病谱中所占比重逐年上升。胸腔镜手术具有微创、快速康复等优势,是肺磨玻璃结节患者手术的首选方式;但是,由于肺磨玻璃结节本身特点,常常发生胸腔镜术中靶灶辨认失败,导致中转开胸或者扩大手术切除范围。因此,为解决肺磨玻璃结节术中准确辨认的问题,近年出现了一系列肺结节定位方法。本文综述目前已报道的肺部结节定位方法及其临床应用情况,总结、分析这些定位方法的优缺点及适用情况,探讨临床上如何具体选择肺磨玻璃结节定位方法。

With the wide utilization of high-resolution computed tomography (HRCT) in the lung cancer screening program, patients detected with pulmonary ground glass nodules (GGNs) has been increasing over time and account for a large proportion of all thoracic surgeries. Because of its less invasiveness and contribution to fast recovery, video-assisted thoracoscopic surgery (VATS) is currently the first choice of surgical approach to lung nodule resection. However, GGNs are usually difficult to recognize during VATS, and failure of nodule localization would result in conversion to thoracotomy or extended lung resection. In order to cope with this problem, there has developed a series of approaches for pulmonary nodule localization in the last few years. This article aims to summarize the reported methods of lung nodule localization and analyze its corresponding pros and cons, in order to help thoracic surgeons to choose appropriate localization method in different clinical conditions.

关键词: 肺磨玻璃结节定位; 电视胸腔镜; 肺癌

Key words: Lung nodule localization; video-assisted thoracoscopic surgery; lung cancer

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